NPI | 1396192209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA12572100) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 299323) |
Enumeration Date | 2016-05-20 |
Last Update Date | 2025-07-11 |